...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vaccine >Implementation and evaluation of the Reaching Every District (RED) strategy in Assam, India, 2005-2008
【24h】

Implementation and evaluation of the Reaching Every District (RED) strategy in Assam, India, 2005-2008

机译：2005-2008年在印度阿萨姆邦实施“到达每个地区（RED）”策略的评估

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

In 2005, UNICEF and the Centers for Disease Control and Prevention implemented and evaluated the Reaching Every District (RED) approach, an intervention designed to improve key components of immunization services including planning, outreach, community mobilization, supervision, and monitoring, in select districts of Assam, India. Two intervention and 3 comparison districts were selected for a 2-year evaluation trial. In intervention districts, immunization staff received comprehensive training and ongoing supervision by a fulltime consultant, and regular monitoring of progress was conducted. Population-based vaccination coverage surveys were conducted at baseline and 2 years after the start of implementation in the 5 districts. Post-intervention process indicators were systematically collected and focus group discussions were held. At follow-up, children in both the intervention and comparison districts were twice as likely to be fully vaccinated as they were at baseline. However, sites that received intervention training were better performing than those that did not, as measured by process indicators, including a higher number of outreach visits planned and held (p = 0.02), having a monitoring chart (p < 0.01), and correctly calculating dropout (p < 0.01). The number of supervisory visits was significantly and positively associated with other key process indicators. Although coverage did not differ significantly between intervention and comparison districts, among individual districts, process data indicate significant improvements in program quality in the intervention districts. Further studies are needed to determine if the improved process indicators have sustainable impact on maintaining improvements in coverage.
机译：2005年，联合国儿童基金会和疾病控制与预防中心实施并评估了“遍及每个地区”的方法，该干预措施旨在改善某些地区的免疫服务的关键组成部分，包括计划，外展，社区动员，监督和监测印度阿萨姆邦的地图。选择两个干预区和三个比较区进行为期两年的评估试验。在干预区，免疫人员接受了全面的培训，并由一名专职顾问进行持续监督，并对进展情况进行了定期监测。在五个地区的基线和开始实施两年后，进行了基于人群的疫苗接种覆盖率调查。系统地收集了干预后的过程指标，并进行了焦点小组讨论。随访时，干预区和比较区的儿童完全接种疫苗的可能性是基线时的两倍。但是，按照过程指标衡量，接受干预培训的站点的性能要优于未接受干预的站点，包括计划和举行的外访次数较多（p = 0.02），具有监控表（p <0.01）且正确计算辍学率（p <0.01）。监督访问的次数与其他关键过程指标有显着正相关。尽管干预区和比较区之间的覆盖率没有显着差异，但是在各个区之间，过程数据表明干预区的计划质量有了显着提高。需要进一步研究以确定改进的过程指标是否对保持覆盖范围的改善具有可持续的影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号